LINDSEY NICOLE GRUENWALD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007573

License Status

INACTIVE

Business

First Name

LINDSEY

Middle

NICOLE

Last Name

GRUENWALD

Business Name

LINDSEY NICOLE GRUENWALD

Original Issue Date

02/24/2020

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61636

Ever Disciplined

LastModifiedDate

01/23/2025